Individual provider · Type 1 NPI

Kevin Stiven Puerta Durango, MD

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1811788136 Active

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Fax (734) 647-2540

Mailing address

8425 NW 33rd Ave
Miami, FL 33147-3909

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811788136

Kevin Stiven Puerta Durango, MD's National Provider Identifier is 1811788136, issued on May 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 2, 2026.